Laserfiche WebLink
P <br /> D 7r <br /> — ANALYTICAL REQUEST I SAMPLE CHAIN OF CUSTODY-- LAB.TRACKING #: ---•=----------------------- <br /> RECORD 1 OF DATERF.CIFVED:/VA!--0-74-D/------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES ". .J.916. ..---------............................ <br /> 1 <br /> 19624 OLIVE AVENUE,OAKDALF,CA.95361 .........................._-.................—..............._............................................................—.—.... <br /> OFFICE-(209)847-6757 <br /> FAX -(209)M7-7744 PH-# (------------------------_------ CONTACT: ...............-------------—-------............._......—......._.-- <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING <br /> i <br /> I {li!;I Ik"!I J I I I,�II'! •!I IfI IIgWONS.ULT <br /> LAE.ANALYSIS REQUEMD(PLF.ASHrAIN3� SITE SAMPLING MAP <br /> CLIENT: ANT: �j fg -*�91TE NAME: rAADnRgss: ). LtcR�. ST.. <br /> SAMPLER SIGNATURE: Drtwf <br /> sWP®VIA: WAYBILL#: <br /> ANALYSIS BY: S TURNAROUND TIME: DAY(S) <br /> s <br /> SAMPLE I.D./ DATE TIME CONTAINERS TYPE MATRIX .1l, !il�jli I''{I "I�I'k I!i ii` '` ',',' 'il!I is ''•il �!!i !!E!�•'� REMARKS/LAB.I.D.#'S <br /> I.) <br /> 2) <br /> 3.) <br /> S) <br /> 6.) t <br /> ,) <br /> �.) b <br /> iA <br /> 9T <br /> la.) <br /> OR <br /> 12Ag <br /> .) <br /> v L <br /> ts.) <br /> ra) <br /> 15.) <br /> RIELMO HED BY: �1 rb RBCErVEDBY: j'. , / / 7 /'f prr SAMPLE INTEGRITY ICONDITION <br /> skGNA_RE f;"` 'G ' ` r l O R <br /> ECEIVED COLD INTACT r Yt:s No <br /> A y DA rnME <br /> REcaVEDBY: // � r / /'�`3 BUBBLES IN V.O.A.S /YES NO L[ S f- <br /> [r / SIGNATURE G� T- { 1 (� USTODY SEALS INTACT I YE NO{ N/A <br /> f DA MMWER.yNQM�B., RECEIVEDBY: RESERVATIVES USED I YES NO If <br /> r SIGNATURE L <br /> NOPE: KEASF.ARCHIVHTHE SAMPLES SUBMIITED FOR THE FULL.HOLDING TIME AILOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. <br /> B.B.=BAILER BLANKS[OI_i.l;C"E FD IN THE RELD. F.B.=FIELD BLANKS COLLECTED D IN TI IE MFi.D. <br /> PINK-FIELD COPY WHITE&VELLOW-TO IAS.WITH SAM7R.F.S SF.I.LOW-RF,TIIRN TOCI.IFNT WITHI RESULTS DF:1:TFCII C.4I.C•FORM" <br />